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I NO oil oil L - I Kotico of Stati-Tax Ltac INDIVIDUAL INCOME TAX IF YOU INQUIRE ABOUT YOUR a�:8 ACCOUNT, REFER TO THESE NUMBERS: SOC. SEC. NO. 507-88 -7260 GARY M..CARL NEBR. IDENT. NO. 24672181 SPOUSE SOC. SEC. NOW 3111 WEST COLZE -GE STF.EET,' TAXABLE YEAR 1985 APT, 92 LIEN. NO, 89076050 GRAND ISLAND, "Z,68803 COUNTY HALL, DATE OF NOTICE 09- 06_ =89 DATE OF ASSESSMENT 02 -OA-0 THIS .:.1tOTICE•` ` I OF $TASTE T LIEN IS ISSUED RT TH9 NEBRASKA DEPARMENT, OF REV'EHUE FOR . INDIVIDUAL INCOME TAk:: PURSUANT TO THE REVENUE .,OF THE STAT3.,:QF NEBRASKA. NOTItZ. IS HEREBY GIVEN THAT ZNDIV1 uAL INCOME Timis . INCLUDING F i7ALTTES AND- INTEREST, WHICH An• :sm' N BELOW, ARC it iE FR�O14 THE :. ;TMWAYER SPECIFIED ABOVE AND IFtE I�, . UNPAID AFTER DAD. THESE TAXES CONSTITUTE A LIEN IN :; CQ?OINTY FOR PROPOLTY BELONGING TO 'THE TAXPAYER OR HERE**: 1 .SQUIRED AMOUR". --:4F TAX . . $ 355.60 PENALTY . g +. 20.03 INTEREST (CCXPUTED TO 09- 0.6 -89 . . . . . . . . . . 188.45 TOTAL AMOUNT DUE . . . . g . a . . . . .1 . g a . . 564.08 I HEREBY CERTIFY THAT TIE NEBRASKA DEPARTMENT OF REVENUE HAS COMPLIED WITH THE REVENUE LAWS OF THE STATE OF NEBRASKA IN THE • DETERMINATION OF THE AMOUNT SHOWN TO 8E DUE, AND THE TAXPAYER HAS FAILED TO PAY THE AMMST DUE AFTER DEMAND. IF THIS NOTICE OF STATE TAX LIEN IS AN EXTENSION OF AN EFFECTIVE LIEN IT SERVES " CONTINUE THE PRIORITY OF THE STATEaS INTEREST IN THE AFFECTED JpRorpTY OF THE TAXPAYER. i ... �iliY.Y i"i'f`.. e • • i i g . g `i r//. .,` /e ... g . g g • l2EPAREit' IGNA URE TITLE DATE V. a?00- W20 0 ?a ..... A HORI D SIGNATURE TITLE DATE FOR C0014TY OFFICIAL`S USE If you haw any 4ue4tions reprdingthls notice, pl"" CGYItaCt the Nebreska apartment of Revenue, 80H 94918. Lincoln, Nebratka 6!409, or any of the r"lonai offices listed belOW. In Nebraska You may 4130 Will toll fret. your long distance accts number and $00.742.7476 for sstlNanCo. LINCOLN — (401) 471.2971 DRANO ISLAND — !3081361.5726 NORTH PLATTE — (30815324250 OMAHA — (4021654'2066 NOR:I:OLK — (4021371 -1620 SCOTT$ BLUFF — 1308) 632.1100 NEBRASKA DEPARTMENT OF REVENUE — White and Cowv Copies TAXPAYER — Pink Copy COUNTY -- Goidenrod Copy v Iwa ..... - . THIS ATTAC1101 > 1ECR(111)� Or TAX LIEN (CO 3lalDglFiQ1) IS (ARE) TO BE FILED ONLY WITH "s mism or OEM. THE DOCUMENTS) IS (ARE) NOT TO BE FORWARDED TO THE COUNTY CLERK. DISTRIBUTION OF COPIES: WHITE: TO BE VALIDATED BY THE REGISTER OF DEEDS AND RMRNFD TO THE DEPARTMENT OF REVENUE. GOLDkNROD: TO BE KEPT BY THE REGISTER OF D8x.D8. BILLING IS TO BE ONCE PER MONTH AND THERE WILL BE 130 PRF- PAYML't3T OF F'CF'S. THANK YOU FOR YOUR COOPERATIOU. I i•; --